Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | SP019292 | PA |
N | 2080P0205X | Pediatric Endocrinologist | SP019293 | PA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | SP019292 | PA |
NPI | 1063063261 |
---|---|
Provider Name | Melissa Swanson |
First Address | Pittsburgh, PA 15224-1342 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2019 |
Last Update Date | 22/11/2019 |